Can Man Boobs Grow Back After Gynecomastia?

If I have a gynecomastia breast reduction for men, are the results permanent, or can the man boobs grow back?

Doctor Answers 51

Can man boobs grow back after gynecomastia

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Generally gynecomastia surgery will take care of the problem permanently. Weight gain, steroids, hormones, or other factors could contribute to a recurrence of gynecomastia. Find an excellent surgeon the first time around to help ensure the best result. 

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 123 reviews

Can gynecomastia recur?

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Gynecomastia which arises during puberty, does not typically recur after surgical correction in the absence of other inciting causes. If there is a significant fatty component, post-operative weight gain might result in some recurrence.  If the condition arose from use of medication or anabolic steroids, further use could lead to recurrence.  

Richard Silverman, MD
Newton Plastic Surgeon
4.0 out of 5 stars 8 reviews

Can Man Boobs Grow Back Answer

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Dear Friend,

That is a very good question.  Gynecomastia surgery is the most common thing I do in my practice.  We do not and cannot remove 100% of the glandular tissue because it is so intimately adherent to the undersurface of the areola that we would probably damage the blood supply if we tried to do that.  The second reason is we certainly do not want to leave a depression where the areola was.  That is the worst of both worlds and indicates the patient once had gynecomastia and then a poor operation to try to correct it. 

The next obvious question then is left behind can it recur?   Theoretically, one could make the case that if somebody really juiced up on anabolic steroids or prohormones that it could be re-stimulated after those hormones were converted to estrogen through the fat cells.  Though that is theoretically true, I would have to tell you I personally have not seen such a case.  I hope this has been helpful to you.

Robert D. Wilcox, M.D.

Robert D. Wilcox, MD
Dallas Plastic Surgeon
4.1 out of 5 stars 22 reviews

Gynaecomastia/ Male breast Surgery

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Hi there! Gynaecomastia can be corrected by many technique. To my knowledge and experience none of the non surgical techniques give results super to surgery. The chance of recurrence is higher if only liposuction is performed. However when combined with excision recurrence is rare. Few drugs that are used for heart failure/ kidney failure may induce growth of the gland in leter part of your life.


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Once the surgery is done (lipo and gland excision)  usually there has to be residual fatty tissue for contouring,  this can increase in size due drugs (steroids, cannabis, certain meds) or gaining weight. The gland is removed but a small cuff is left behind the areola for contouring, this can also increase in size due to the same factors mention earlier. 

Roberto Gonzalez, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 6 reviews

Man Boob Recurrence after Gynecomastia Surgery?

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The results of male breast reduction surgery are often permanent. By removing the excess breast tissue, the procedure is able to treat the root cause of enlarged breasts in men. In order to maintain the results, it’s important that you follow your surgeon’s post-surgery recommendations. Gynecomastia can recur as a result of hormonal changes, steroid use, certain recreational drugs or other medications and weight gain.

Surgery Should Be Permanent

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If performed correctly, removing most of the breast tissue should be a permanent solution. If the overgrowth of tissue was secondary to an organic disease or to medications or steroids, gynecomastia can certainly recur. Therefore, it is very important that you have an appropriate history and physical exam and medical work-up prior to any surgery. Any issue that caused the tissue overgrowth must be addressed prior to surgery.

Kahlil Andrews, MD
Cedar Rapids Plastic Surgeon
4.6 out of 5 stars 22 reviews

It doesn't come back if properly treated

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The most common reason gynecomastia "comes back" is because it wasn't properly removed the first time. Often patients are told to "wait six months or more for the swelling to subside" only to find things haven't changed that much.

Gynecomastia results are immediate. Recurrence of the tissue is quite rare (I have seen it on one side in 1700 cases).

Find an experienced gynecomastia surgeon and you will be in good hands.

The Lasting Effects of Gynecomastia Surgery

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The #recurrence of breast enlargement is uncommon following #gynecomastia surgery.
However, it can occur. If this happens, you may require further surgery in the future.
Each patient is unique and previous #results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Results are permanent unless...

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Fat and breast tissue that are removed are gone forever.  Sometimes a patient will think that it has returned but the gland may not have been completely removed during surgery.
However fat cells can re-expand if someone gains enough weight.
And if patients are exposed to some steroids, medications, or develops a tumor  - then it can return.

Steven Teitelbaum, MD
Los Angeles Plastic Surgeon
4.6 out of 5 stars 49 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.